001     282550
005     20251218103441.0
024 7 _ |a 10.1007/s00406-025-02013-z
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024 7 _ |a pmid:40314736
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024 7 _ |a pmc:PMC12638345
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024 7 _ |a 1433-8491
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024 7 _ |a 0003-9373
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037 _ _ |a DZNE-2025-01313
041 _ _ |a English
082 _ _ |a 610
100 1 _ |a Kurz, Carolin
|0 P:(DE-2719)9000176
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245 _ _ |a Plasma biomarkers of amyloid, tau & neuroinflammation in Alzheimer's disease and corticobasal syndrome.
260 _ _ |a Heidelberg
|c 2025
|b Springer
336 7 _ |a article
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336 7 _ |a Journal Article
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336 7 _ |a ARTICLE
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336 7 _ |a Journal Article
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520 _ _ |a Blood-based biomarkers (BBBMs) could significantly facilitate the diagnosis of Alzheimer's disease (AD) and non-AD dementia by providing less invasive alternatives to cerebrospinal fluid (CSF) and positron emission tomography (PET) imaging.This study investigated how well the BBBMs-amyloid-β (Aβ) 1-42/1-40 ratio, phosphorylated tau181 (pTau181), apolipoprotein E4 (ApoE4), glial fibrillary acidic protein (GFAP), and neurofilament light chain (NfL)-reflect thorough clinical work-up validated by PET and CSF biomarkers in participants with AD (n = 27), Aβ-negative CBS (n = 26), and agematched healthy controls (HC) (n = 17).Factor and correlation explored biomarker associations. Bayesian regression, backward selection regression, and ROC curve analysis were applied to identify optimal biomarker combinations and diagnostic cut-offs.In AD cases, pTau181 and ApoE4 levels were elevated, and the Aβ1-42/1-40 ratio was reduced. ROC analysis showed high accuracy for pTau181, ApoE4 and Aβ1-42/1-40 in discriminating AD from HC, with a combination significantly improving performance. However, limited fold change, and high variability reduced the diagnostic applicability of Aβ1-42/1-40 ratio. Elevated NfL levels were the most reliable biomarker for CBS-Aβ(-) cases. GFAP showed limited discriminatory power due to overlapping levels, suggesting that it may not serve as a disease-specific biomarker but may be indicative of general neurodegeneration.This study highlights the diagnostic utility of pTau181, ApoE4 and the Aβ1-42/1-40 ratio for AD and NfL in the CBS-Aβ(-) cases and emphasizes the added value of combined biomarker models for group differentiation. Prospective studies will help validate these findings and refine clinical thresholds.
536 _ _ |a 353 - Clinical and Health Care Research (POF4-353)
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650 _ 7 |a Apolipoprotein E (ApoE4)
|2 Other
650 _ 7 |a Beta-amyloid 1-40 (Aβ1-40)
|2 Other
650 _ 7 |a Beta-amyloid 1-42 (Aβ1-42)
|2 Other
650 _ 7 |a Glial fibrillary acidic protein (GFAP)
|2 Other
650 _ 7 |a Neurofilament light chain (NfL)
|2 Other
650 _ 7 |a Non-Alzheimer's disease dementia; beta
|2 Other
650 _ 7 |a Phosphorylated tau (pTau)
|2 Other
650 _ 7 |a tau Proteins
|2 NLM Chemicals
650 _ 7 |a Amyloid beta-Peptides
|2 NLM Chemicals
650 _ 7 |a Biomarkers
|2 NLM Chemicals
650 _ 7 |a Peptide Fragments
|2 NLM Chemicals
650 _ 7 |a Glial Fibrillary Acidic Protein
|2 NLM Chemicals
650 _ 7 |a Neurofilament Proteins
|2 NLM Chemicals
650 _ 7 |a Apolipoprotein E4
|2 NLM Chemicals
650 _ 7 |a amyloid beta-protein (1-42)
|2 NLM Chemicals
650 _ 7 |a neurofilament protein L
|2 NLM Chemicals
650 _ 7 |a GFAP protein, human
|2 NLM Chemicals
650 _ 7 |a amyloid beta-protein (1-40)
|2 NLM Chemicals
650 _ 7 |a MAPT protein, human
|2 NLM Chemicals
650 _ 2 |a Humans
|2 MeSH
650 _ 2 |a Alzheimer Disease: blood
|2 MeSH
650 _ 2 |a Alzheimer Disease: diagnosis
|2 MeSH
650 _ 2 |a tau Proteins: blood
|2 MeSH
650 _ 2 |a Female
|2 MeSH
650 _ 2 |a Amyloid beta-Peptides: blood
|2 MeSH
650 _ 2 |a Biomarkers: blood
|2 MeSH
650 _ 2 |a Aged
|2 MeSH
650 _ 2 |a Male
|2 MeSH
650 _ 2 |a Peptide Fragments: blood
|2 MeSH
650 _ 2 |a Glial Fibrillary Acidic Protein: blood
|2 MeSH
650 _ 2 |a Middle Aged
|2 MeSH
650 _ 2 |a Neurofilament Proteins: blood
|2 MeSH
650 _ 2 |a Neuroinflammatory Diseases: blood
|2 MeSH
650 _ 2 |a Apolipoprotein E4: blood
|2 MeSH
650 _ 2 |a Aged, 80 and over
|2 MeSH
650 _ 2 |a Corticobasal Degeneration: blood
|2 MeSH
650 _ 2 |a Corticobasal Degeneration: diagnosis
|2 MeSH
650 _ 2 |a Positron-Emission Tomography
|2 MeSH
700 1 _ |a Carli, Laura
|b 1
700 1 _ |a Guersel, Selim
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|u dzne
700 1 _ |a Schrurs, Isabelle
|b 3
700 1 _ |a Jethwa, Alexander
|b 4
700 1 _ |a Carboni, Margherita
|b 5
700 1 _ |a Bittner, Tobias
|b 6
700 1 _ |a Hortsch, Sayuri
|b 7
700 1 _ |a Keeser, Daniel
|b 8
700 1 _ |a Brendel, Matthias
|0 P:(DE-2719)9001539
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700 1 _ |a Burow, Lena
|b 10
700 1 _ |a Haeckert, Jan
|b 11
700 1 _ |a Koriath, Carolin A M
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700 1 _ |a Tatò, Maia Lucia
|0 P:(DE-2719)9003524
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700 1 _ |a Utecht, Julia
|b 14
700 1 _ |a Papazov, Boris
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700 1 _ |a Morenas Rodriguez, Estrella
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700 1 _ |a Pogarell, Oliver
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700 1 _ |a Palleis, Carla
|0 P:(DE-2719)9000852
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700 1 _ |a Weidinger, Endy
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700 1 _ |a Stöcklein, Sophia
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700 1 _ |a Levin, Johannes
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700 1 _ |a Höglinger, Günter
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700 1 _ |a Rauchmann, Boris-Stephan
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700 1 _ |a Perneczky, Robert
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773 _ _ |a 10.1007/s00406-025-02013-z
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